The hardest question… Should you get a CTA?

Blunt Trauma of Neck

  • Obtain CTA if…
    • Patient has neurologic deficit
      • Numbness
      • Weakness
      • Visual changes
    • Patient sustained forceful impact to the neck
    • Patient has fracture
      • Basilar skull
      • Facial bones
      • Cervical spine

Penetrating Trauma of the Neck

  • Go to OR if patient is unstable
  • Go to OR if patient has HARD signs
    • HARD Bruit Mnemonic
      • Hemoptysis/Hematemesis/Hypotension
      • Arterial bleeding
      • Rapidly expanding hematoma
      • Deficit (neurologic/pulse)
      • Bruit
  • Otherwise obtain CTA of the neck

Additional Reading